Evidence map›Paper›PMID 33875671›Full record

Observational studyScientific reports2021

Blood tryptase and thymic stromal lymphopoietin levels predict the risk of exacerbation in severe asthma.

Hsin-Kuo Ko, Shih-Lung Cheng, Ching-Hsiung Lin, Sheng-Hao Lin, Yi-Han Hsiao, Kang-Cheng Su, Chong-Jen Yu, Hao-Chien Wang, Chau-Chyun Sheu, Kuo-Chin Chiu and 1 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
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  5. Targeting alarmins in asthma: From bench to clinic.The Journal of allergy and clinical immunology · 2025
    Review
  6. Review
  7. Article
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  9. International journal of molecular sciences · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Review
  17. Severe Asthmatic Responses: The Impact of TSLP.International journal of molecular sciences · 2023
    Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Hsin-Kuo KoDepartment of Chest Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, 112, Taiwan, ROC.
Shih-Lung ChengDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan, ROC.
Ching-Hsiung LinDivision of Chest Medicine, Changhua Christian Hospital, Changhua, Taiwan, ROC.
Sheng-Hao LinDivision of Chest Medicine, Changhua Christian Hospital, Changhua, Taiwan, ROC.
Yi-Han HsiaoDepartment of Chest Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, 112, Taiwan, ROC.
Kang-Cheng SuDepartment of Chest Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, 112, Taiwan, ROC.
Chong-Jen YuDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Hao-Chien WangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Chau-Chyun SheuDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC.
Kuo-Chin Chiu *Division of Chest, Department of Internal Medicine, Poh-Ai Hospital Luodong, No. 83, Nanchang St., Luodong Township, 265, Yilan, Taiwan, ROC. chiukc1@yahoo.com.tw.
Diahn-Warng Perng *Department of Chest Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, 112, Taiwan, ROC. dwperng@vghtpe.gov.tw.
National Taipei University · TWChanghua Christian Hospital · TWNational Taiwan University Hospital · TWFar Eastern Memorial Hospital · TWKaohsiung Medical University · TWLuodong Poh-Ai Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Some patients with severe asthma experience exacerbations despite receiving multiple therapy. The risk of exacerbation and heterogeneous response to treatment may be associated with specific inflammatory molecules that are responsive or resistant to corticosteroids. We aimed to identify the independent factors predictive for the future risk of exacerbation in patients with severe asthma. In this multi-center prospective observational study, 132 patients with severe asthma were enrolled and divided into exacerbation (n = 52) and non-exacerbation (n = 80) groups on the basis of exacerbation rate after a 1-year follow-up period. We found that previous history of severe-to-serious exacerbation, baseline blood eosinophil counts (≥ 291cells/μL), and serum tryptase (≤ 1448 pg/mL) and thrymic stromal lymphopoietin (TSLP) levels (≥ 25 pg/mL) independently predicted the future development of exacerbation with adjusted odds ratios (AOR) of 3.27, 6.04, 2.53 and 8.67, respectively. Notably, the patients with high blood eosinophil counts and low tryptase levels were likely to have more exacerbations than those with low blood eosinophil counts and high tryptase levels (AOR 16.9). TSLP potentially played the pathogenic role across different asthma phenotypes. TSLP and tryptase levels may be implicated in steroid resistance and responsiveness in the asthma inflammatory process. High blood eosinophil counts and low serum tryptase levels predict a high probability of future asthma exacerbation.

Indexed as

AsthmaSymptom Flare UpAdrenal Cortex HormonesAgedAnti-Asthmatic AgentsBiomarkersCytokinesEosinophiliaFemaleHumansLeukocyte CountMaleMiddle AgedPrognosisProspective StudiesThymic Stromal LymphopoietinAdrenal Cortex HormonesAnti-Asthmatic AgentsBiomarkersCytokinesThymic Stromal LymphopoietinTryptases

Identifiers

PMID33875671
PMCPMC8055991
OpenAlexW3155208116

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.